| NPI | 1588812804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71004833A) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH NP09590) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2014-04-14 |